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1.
Microb Ecol ; 69(4): 733-47, 2015 May.
Article in English | MEDLINE | ID: mdl-25149283

ABSTRACT

Human land use alters soil microbial composition and function in a variety of systems, although few comparable studies have been done in tropical forests and tropical agricultural production areas. Logging and the expansion of oil palm agriculture are two of the most significant drivers of tropical deforestation, and the latter is most prevalent in Southeast Asia. The aim of this study was to compare soil fungal communities from three sites in Malaysia that represent three of the most dominant land-use types in the Southeast Asia tropics: a primary forest, a regenerating forest that had been selectively logged 50 years previously, and a 25-year-old oil palm plantation. Soil cores were collected from three replicate plots at each site, and fungal communities were sequenced using the Illumina platform. Extracellular enzyme assays were assessed as a proxy for soil microbial function. We found that fungal communities were distinct across all sites, although fungal composition in the regenerating forest was more similar to the primary forest than either forest community was to the oil palm site. Ectomycorrhizal fungi, which are important associates of the dominant Dipterocarpaceae tree family in this region, were compositionally distinct across forests, but were nearly absent from oil palm soils. Extracellular enzyme assays indicated that the soil ecosystem in oil palm plantations experienced altered nutrient cycling dynamics, but there were few differences between regenerating and primary forest soils. Together, these results show that logging and the replacement of primary forest with oil palm plantations alter fungal community and function, although forests regenerating from logging had more similarities with primary forests in terms of fungal composition and nutrient cycling potential. Since oil palm agriculture is currently the mostly rapidly expanding equatorial crop and logging is pervasive across tropical ecosystems, these findings may have broad applicability.


Subject(s)
Agriculture , Forests , Fungi/physiology , Soil Microbiology , Arecaceae/growth & development , Dipterocarpaceae/growth & development , Forestry , Malaysia , Soil/chemistry
2.
Psychol Med ; 40(7): 1137-47, 2010 Jul.
Article in English | MEDLINE | ID: mdl-19891807

ABSTRACT

BACKGROUND: African-Caribbean and black African people living in the UK are reported to have a higher incidence of diagnosed psychosis compared with white British people. It has been argued that this may be a consequence of misdiagnosis. If this is true they might be less likely to show the patterns of structural brain abnormalities reported in white British patients. The aim of this study therefore was to investigate whether there are differences in the prevalence of structural brain abnormalities in white and black first-episode psychosis patients. METHOD: We obtained dual-echo (proton density/T2-weighted) images from a sample of 75 first-episode psychosis patients and 68 healthy controls. We used high resolution magnetic resonance imaging and voxel-based methods of image analysis. Two separate analyses were conducted: (1) 34 white British patients were compared with 33 white British controls; (2) 41 African-Caribbean and black African patients were compared with 35 African-Caribbean and black African controls. RESULTS: White British patients and African-Caribbean/black African patients had ventricular enlargement and increased lenticular nucleus volume compared with their respective ethnic controls. The African-Caribbean/black African patients also showed reduced global grey matter and increased lingual gyrus grey-matter volume. The white British patients had no regional or global grey-matter loss compared with their normal ethnic counterparts but showed increased grey matter in the left superior temporal lobe and right parahippocampal gyrus. CONCLUSIONS: We found no evidence in support of our hypothesis. Indeed, the finding of reduced global grey-matter volume in the African-Caribbean/black African patients but not in the white British patients was contrary to our prediction.


Subject(s)
Black People/psychology , Brain/anatomy & histology , Brain/physiopathology , Psychotic Disorders/physiopathology , White People/psychology , Adult , Black People/statistics & numerical data , Caribbean Region/ethnology , Cerebral Ventricles/anatomy & histology , Corpus Striatum/anatomy & histology , Corpus Striatum/physiopathology , Female , Humans , Incidence , International Classification of Diseases , Magnetic Resonance Imaging , Male , Prevalence , Psychotic Disorders/ethnology , Psychotic Disorders/psychology , Substance-Related Disorders/ethnology , United Kingdom/epidemiology , White People/statistics & numerical data
3.
Psychol Med ; 40(12): 1967-78, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20178679

ABSTRACT

BACKGROUND: Childhood adversity has been associated with onset of psychosis in adulthood but these studies have used only general definitions of this environmental risk indicator. Therefore, we sought to explore the prevalence of more specific adverse childhood experiences amongst those with and without psychotic disorders using detailed assessments in a large epidemiological case-control sample (AESOP). METHOD: Data were collected on 182 first-presentation psychosis cases and 246 geographically matched controls in two UK centres. Information relating to the timing and frequency of exposure to different types of childhood adversity (neglect, antipathy, physical and sexual abuse, local authority care, disrupted living arrangements and lack of supportive figure) was obtained using the Childhood Experience of Care and Abuse Questionnaire. RESULTS: Psychosis cases were three times more likely to report severe physical abuse from the mother that commenced prior to 12 years of age, even after adjustment for other significant forms of adversity and demographic confounders. A non-significant trend was also evident for greater prevalence of reported severe maternal antipathy amongst those with psychosis. Associations with maternal neglect and childhood sexual abuse disappeared after adjusting for maternal physical abuse and antipathy. Paternal maltreatment and other forms of adversity were not associated with psychosis nor was there evidence of a dose-response effect. CONCLUSIONS: These findings suggest that only specific adverse childhood experiences are associated with psychotic disorders and only in a minority of cases. If replicated, this greater precision will ensure that research into the mechanisms underlying the pathway from childhood adversity to psychosis is more fruitful.


Subject(s)
Child Abuse/statistics & numerical data , Psychotic Disorders/etiology , Psychotic Disorders/psychology , Adult , Case-Control Studies , Child , Female , Humans , Male , Mother-Child Relations , Prevalence , United Kingdom/epidemiology
4.
Science ; 158(3806): 1332-4, 1967 Dec 08.
Article in English | MEDLINE | ID: mdl-6058009

ABSTRACT

Mutant cells lackng chlorophyll, chloroplasts, and chloroplast DNA were produced by irradiating Euglena gracilis in aerobic conditions with visible or red light (greater than 610 nanometers) of an intensity equivalent to that of direct sunlight. The photosensitizer is apparently the endogenous chlorophyll present in the chloroplasts. These mutants are comparable to those induced by ultraviolet light, x-rays, heat, or streptomycin. Our findings indicate that visible light can serve as a mutagenic agent in the absence of exogenous photosensitizers, thus directly effecting the course of evolution of organisms containing chlorophyll.


Subject(s)
Euglena , Light , Mutation , Pigments, Biological , Animals , Biological Evolution , Centrifugation, Density Gradient , Cesium , Chlorophyll , DNA/analysis , Sunlight
5.
Acta Psychiatr Scand ; 119(3): 226-35, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19053965

ABSTRACT

OBJECTIVE: We sought to investigate the prevalence and social correlates of psychotic-like experiences in a general population sample of Black and White British subjects. METHOD: Data were collected from randomly selected community control subjects, recruited as part of the AESOP study, a three-centre population based study of first-episode psychosis. RESULTS: The proportion of subjects reporting one or more psychotic-like experience was 19% (n = 72/372). These were more common in Black Caribbean (OR 2.08) and Black African subjects (OR 4.59), compared with White British. In addition, a number of indicators of childhood and adult disadvantage were associated with psychotic-like experiences. When these variables were simultaneously entered into a regression model, Black African ethnicity, concentrated adult disadvantage, and separation from parents retained a significant effect. CONCLUSION: The higher prevalence of psychotic-like experiences in the Black Caribbean, but not Black African, group was explained by high levels of social disadvantage over the life course.


Subject(s)
Black People/psychology , Life Change Events , Psychosocial Deprivation , Psychotic Disorders/ethnology , White People/psychology , Adolescent , Adult , Case-Control Studies , Cross-Cultural Comparison , Cross-Sectional Studies , Delusions/diagnosis , Delusions/epidemiology , Delusions/ethnology , Delusions/psychology , England , Female , Hallucinations/diagnosis , Hallucinations/epidemiology , Hallucinations/ethnology , Hallucinations/psychology , Health Surveys , Humans , Incidence , Male , Maternal Deprivation , Middle Aged , Paternal Deprivation , Psychiatric Status Rating Scales , Psychotic Disorders/diagnosis , Psychotic Disorders/epidemiology , Psychotic Disorders/psychology , Risk Factors , Social Isolation , Social Support , Young Adult
6.
mBio ; 8(2)2017 03 28.
Article in English | MEDLINE | ID: mdl-28351915

ABSTRACT

Hands play a critical role in the transmission of microbiota on one's own body, between individuals, and on environmental surfaces. Effectively measuring the composition of the hand microbiome is important to hand hygiene science, which has implications for human health. Hand hygiene products are evaluated using standard culture-based methods, but standard test methods for culture-independent microbiome characterization are lacking. We sampled the hands of 50 participants using swab-based and glove-based methods prior to and following four hand hygiene treatments (using a nonantimicrobial hand wash, alcohol-based hand sanitizer [ABHS], a 70% ethanol solution, or tap water). We compared results among culture plate counts, 16S rRNA gene sequencing of DNA extracted directly from hands, and sequencing of DNA extracted from culture plates. Glove-based sampling yielded higher numbers of unique operational taxonomic units (OTUs) but had less diversity in bacterial community composition than swab-based sampling. We detected treatment-induced changes in diversity only by using swab-based samples (P < 0.001); we were unable to detect changes with glove-based samples. Bacterial cell counts significantly decreased with use of the ABHS (P < 0.05) and ethanol control (P < 0.05). Skin hydration at baseline correlated with bacterial abundances, bacterial community composition, pH, and redness across subjects. The importance of the method choice was substantial. These findings are important to ensure improvement of hand hygiene industry methods and for future hand microbiome studies. On the basis of our results and previously published studies, we propose recommendations for best practices in hand microbiome research.IMPORTANCE The hand microbiome is a critical area of research for diverse fields, such as public health and forensics. The suitability of culture-independent methods for assessing effects of hygiene products on microbiota has not been demonstrated. This is the first controlled laboratory clinical hand study to have compared traditional hand hygiene test methods with newer culture-independent characterization methods typically used by skin microbiologists. This study resulted in recommendations for hand hygiene product testing, development of methods, and future hand skin microbiome research. It also demonstrated the importance of inclusion of skin physiological metadata in skin microbiome research, which is atypical for skin microbiome studies.


Subject(s)
Bacteriological Techniques/methods , Hand Disinfection/methods , Metagenomics/methods , Microbiota/drug effects , Adolescent , Adult , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , DNA, Ribosomal/chemistry , DNA, Ribosomal/genetics , Female , Humans , Montana , RNA, Ribosomal, 16S/genetics , Sensitivity and Specificity , Sequence Analysis, DNA , Treatment Outcome , Young Adult
7.
Arch Gen Psychiatry ; 36(1): 25-31, 1979 Jan.
Article in English | MEDLINE | ID: mdl-760695

ABSTRACT

The ability of six different operational definitions of schizophrenia to identify prospectively patients whose eventual prognosis would be poor was studied using data from a six-year follow-up of a series of 134 patients with functional psychoses. All six definitions were more successful at predicting a poor symptomatic outcome than a poor social outcome. Spitzer's Research Diagnostic Criteria, Carpenter's flexible criteria, and Langfeldt's criteria predicted a poor outcome as well as the original clinical diagnoses and were considerably better than the New Haven criteria, Schneider's first rank symptoms, or the computer program Catego.


Subject(s)
Schizophrenia/diagnosis , Adult , Delusions , Disability Evaluation , Employment , Evaluation Studies as Topic , Follow-Up Studies , Hallucinations , Humans , Interview, Psychological , Methods , Middle Aged , Prognosis , Social Isolation
8.
Arch Gen Psychiatry ; 36(3): 311-5, 1979 Mar.
Article in English | MEDLINE | ID: mdl-33634

ABSTRACT

Schizophrenic patients were tested on psychophysiologic measures within their homes and in the laboratory. Sweat gland activity and heart rate changes when patients encounter novel situations such as life events, together with the home atmosphere generated by a critical or overinvolved relative, confirmed objectively the importance of previous social measures of these factors in determining relapse. Drug effects were also found to be modified by these social factors. Environmental and socially induced changes found in the home were undetectable in the laboratory situation.


Subject(s)
Arousal/physiology , Interpersonal Relations , Schizophrenia/physiopathology , Schizophrenic Psychology , Antipsychotic Agents/therapeutic use , Arousal/drug effects , Blood Pressure/drug effects , Emotions/drug effects , Emotions/physiology , Galvanic Skin Response/drug effects , Heart Rate/drug effects , Humans , Life Change Events , Phenothiazines , Schizophrenia/drug therapy , Social Adjustment
9.
J Leukoc Biol ; 37(1): 15-28, 1985 Jan.
Article in English | MEDLINE | ID: mdl-3855305

ABSTRACT

Mononuclear cell fibroblast interactions in the normal human lung are poorly understood. Mononuclear cells can regulate fibroblast function and blood monocytes are known to migrate to the lung and participate in pulmonary inflammation. Thus, to clarify mononuclear cell-fibroblast interactions in the normal lung, we obtained supernatants from adherent monocytes and characterized their effect on the log phase growth of human lung fibroblasts. Monocyte supernatants inhibited fibroblast growth in a dose-dependent fashion. The inhibition was the result of an approximately 16,000 MW soluble factor(s) that was heat stable, trypsin sensitive, and chymotrypsin resistant. Elaboration of the factor(s) required monocyte protein synthesis and was not restricted to a density-defined monocyte subpopulation. The inhibitory capacity of a monocyte supernatant was directly related to its ability to stimulate fibroblast prostaglandin production. Blocking fibroblast prostaglandin production reversed the inhibition of fibroblast growth caused by monocyte supernatants. Thus, monocyte inhibition of fibroblast growth may be mediated by fibroblast prostaglandin production. Recruitment of monocytes to the lung and subsequent monocyte inhibition of fibroblast growth may be important in regulating pulmonary fibrosis.


Subject(s)
Lung/physiology , Monocytes/physiology , Prostaglandins/biosynthesis , Cell Division/drug effects , Cell Line , DNA Replication/drug effects , Fibroblasts/cytology , Fibroblasts/drug effects , Fibroblasts/physiology , Growth Substances/analysis , Humans , Indomethacin/pharmacology , Lung/cytology , Monocytes/cytology , Prostaglandins E/biosynthesis , Trypsin/pharmacology
10.
J Invest Dermatol ; 97(3): 405-9, 1991 Sep.
Article in English | MEDLINE | ID: mdl-1875041

ABSTRACT

Antioxidant enzyme activities of cultured human foreskin fibroblasts, keratinocytes, and melanocytes from healthy black and Caucasian donors were measured and compared. Fibroblasts had more (p less than 0.05) peroxidase, catalase, glutathione peroxidase, and superoxide dismutase activity than keratinocytes. Keratinocytes had more (p less than 0.05) peroxidase, catalase, glutathione peroxidase, and superoxide dismutase activity than melanocytes. No differences in antioxidant enzyme activities were observed between the cells of any type taken from black or Caucasian people. Antioxidant enzyme activities may affect resistance to damage by oxidants induced by ultraviolet radiation and inflammation.


Subject(s)
Fibroblasts/enzymology , Keratinocytes/enzymology , Melanocytes/enzymology , Oxidoreductases/metabolism , Catalase/metabolism , Cells, Cultured , Glutathione Peroxidase/metabolism , Humans , Male , Peroxidases/metabolism , Superoxide Dismutase/metabolism
11.
Am J Psychiatry ; 153(10): 1318-24, 1996 Oct.
Article in English | MEDLINE | ID: mdl-8831441

ABSTRACT

OBJECTIVE: The purpose of this study was to evaluate the policy of closing psychiatric hospitals and replacing their functions with community-based services. METHOD: All long-stay nondemented patients in two U.K. hospitals scheduled for closure were assessed with a series of schedules. All patients in one hospital and a proportion of those in the other hospital were reassessed 1 year after discharge to community facilities. RESULTS: Of the 737 patients discharged from the two hospitals, 24 died before follow-up, two by suicide. Follow-up was successful for 94.6% of the survivors. Only seven patients were lost to follow-up and are presumed to have become homeless. Only two patients went to prison, one briefly. There was very little change in patients' psychiatric symptoms or social behavior problems. The community homes provided a much less restrictive environment than the hospital wards. Discharged patients were very appreciative of their increased freedom, and over 80% wished to stay in their community homes. There was an increase in the proportion of patients with incontinence and immobility. The patients' social lives were enriched by an increase in friends, and some made contact with neighbors and others in the community. However, there was a decrease in contact with relatives following discharge. CONCLUSIONS: When the capital and revenue resources of a psychiatric hospital are reinvested in community services, based on staffed houses, there are few problems with crime or homelessness. With such well-resourced services, the benefits greatly outweigh the disadvantages for both old and new long-stay patients.


Subject(s)
Community Mental Health Services/standards , Deinstitutionalization/standards , Group Homes/standards , Mental Disorders/rehabilitation , Attitude to Health , Female , Follow-Up Studies , Health Facility Closure , Health Policy , Hospitals, Psychiatric , Humans , Length of Stay , Long-Term Care , Male , Mental Disorders/diagnosis , Mental Disorders/psychology , Middle Aged , Outcome Assessment, Health Care , Patient Discharge , Program Evaluation , Prospective Studies , Quality of Life , United Kingdom
12.
Free Radic Biol Med ; 10(1): 61-8, 1991.
Article in English | MEDLINE | ID: mdl-1646751

ABSTRACT

The mechanism of xanthine oxidase (XO) inactivation by hydrogen peroxide (H2O2) and its biologic significance are unclear. We found that addition of increasing concentrations of H2O2 progressively decreased xanthine oxidase activity in the presence but not the absence of xanthine in vitro. Inactivation of XO by H2O2 was also enhanced by anaerobic reduction of XO by xanthine. Inactivation of XO by H2O2 was accompanied by production of hydroxyl radical (.OH), measured as formation of formaldehyde from dimethylsulfoxide (DMSO). In contrast, addition of H2O2 to deflavo XO did not produce .OH. Inactivation of XO by H2O2 was decreased by simultaneous addition of the .OH scavenger, DMSO. However, inactivation of XO by H2O2 and formation of .OH were not decreased following addition of the metal chelator. DETAPAC, and/or the O2 scavenger, superoxide dismutase. The results suggest that inactivation of XO by H2O2 occurs by production of .OH following direct reduction of H2O2 by XO at the flavin site.


Subject(s)
Hydrogen Peroxide/pharmacology , Hydroxides/metabolism , Xanthine Oxidase/metabolism , Dimethyl Sulfoxide/pharmacology , Enzyme Activation/drug effects , Formaldehyde/metabolism , Free Radical Scavengers , Hydroxyl Radical , Pentetic Acid/pharmacology , Substrate Specificity , Superoxide Dismutase/pharmacology
13.
Free Radic Biol Med ; 18(3): 537-42, 1995 Mar.
Article in English | MEDLINE | ID: mdl-9101244

ABSTRACT

We hypothesized that alterations in lung vitamin E levels would impact the development of acute oxidative lung injury. We found that dietary induced deficiency of vitamin E diminished lung tissue levels of vitamin E and increased lung leak following intratracheal administration of interleukin-1 (IL-1) to rats. Conversely, rats administered vitamin E directly to the lungs as an inhaled aerosol (0.3-3 microns particles) formed by supercritical fluid aerosolization (SFA) had increased lung tissue vitamin E levels and decreased IL-1 induced lung leak compared to control rats. Lung myeloperoxidase (MPO) activities, reflecting neutrophil concentrations, were increased in rats given IL-1 intratracheally compared to rats given saline intratracheally but were not different for control or vitamin E depleted rats. Lung MPO activities in rats given IL-1 intratracheally were slightly higher in SFA vitamin E treated rats than in control rats. Our results suggest that vitamin E levels affect susceptibility to IL-1 induced, neutrophil-dependent lung injury. We speculate that supercritical fluid aerosol (SFA) delivery of vitamin E can rapidly increase lung vitamin E levels and decrease acute oxidative lung injury.


Subject(s)
Lung Injury , Vitamin E Deficiency/complications , Vitamin E/administration & dosage , Adult , Aerosols , Animals , Diet , Free Radicals/metabolism , Humans , Interleukin-1/toxicity , Lung/drug effects , Lung/metabolism , Male , Oxidation-Reduction , Peroxidase/metabolism , Rats , Rats, Sprague-Dawley , Respiratory Distress Syndrome/etiology , Respiratory Distress Syndrome/metabolism , Respiratory Distress Syndrome/prevention & control , Vitamin E/pharmacokinetics , Vitamin E Deficiency/drug therapy , Vitamin E Deficiency/metabolism
14.
Free Radic Biol Med ; 13(2): 143-9, 1992.
Article in English | MEDLINE | ID: mdl-1516841

ABSTRACT

We found that serum from individuals with Acquired Immunodeficiency Syndrome (AIDS) had more (p less than .05) catalase activity (31.5 +/- 5.2 U/mL) than serum from healthy control subjects (7.3 +/- 0.8 U/mL). Moreover, serum catalase (but not glutathione peroxidase) activity increased progressively with advancing human immunodeficiency virus (HIV) infection (i.e., AIDS greater than symptomatic infection greater than asymptomatic infection greater than controls). Increases in serum catalase activity correlated with increases in serum hydrogen peroxide (H2O2) scavenging ability and reached levels which decreased exogenous H2O2-mediated injury to cultured endothelial cells without altering neutrophil bactericidal activity or mononuclear cell cytotoxicity in vitro. Serum catalase activity correlated with serum lactate dehydrogenase (LDH) activity but did not appear to be a consequence of erythrocyte (RBC) hemolysis since RBC fragility and serum haptoglobin levels were comparable in HIV-infected and control subjects. Increases in serum catalase activity may reflect and/or compensate for systemic glutathione and other antioxidant deficiencies in HIV-infected individuals.


Subject(s)
Catalase/blood , HIV Infections/enzymology , Acquired Immunodeficiency Syndrome/blood , Acquired Immunodeficiency Syndrome/enzymology , Adult , Antioxidants/metabolism , Biomarkers , Free Radical Scavengers , Free Radicals/metabolism , Glutathione Peroxidase/blood , HIV Infections/blood , HIV Infections/etiology , Humans , Hydrogen Peroxide/blood , Male
15.
Environ Health Perspect ; 102 Suppl 10: 57-60, 1994 Dec.
Article in English | MEDLINE | ID: mdl-7705307

ABSTRACT

The acute lung injury resulting from adult respiratory distress syndrome (ARDS) is thought to be largely mediated by activated neutrophils. Because activated neutrophils produce the superoxide radical, which is both bacterial and cytotoxic to host cells, this oxygen-derived free radical is likely responsible for at least part of the neutrophil-mediated lung injury. In a rat model of ARDS resulting from intratracheal instillation of interleukin-1, recombinant human manganous superoxide dismutase significantly decreased lung leak. One detrimental action of proteases released by adherent neutrophils may be the degradation of extracellular superoxide dismutase (ECSOD), which normally binds to the heparan sulfate on the surface the endothelium. We found that rabbit ECSOD incubated with either trypsin or activated neutrophils loses affinity for heparin. Furthermore, soluble ECSOD is elevated in the serum of patients with ARDS, consistent with this hypothesis.


Subject(s)
Lung/drug effects , Neutrophils/metabolism , Reactive Oxygen Species , Respiratory Distress Syndrome/etiology , Animals , Extracellular Space/metabolism , Heparin/metabolism , Humans , Interleukin-1/pharmacology , Lung/metabolism , Permeability , Rabbits , Rats , Respiratory Distress Syndrome/blood , Superoxide Dismutase/blood , Superoxide Dismutase/metabolism , Superoxide Dismutase/pharmacology , Trypsin/pharmacology
16.
J Clin Psychiatry ; 45(5 Pt 2): 43-9, 1984 May.
Article in English | MEDLINE | ID: mdl-6143747

ABSTRACT

The benefits of psychosocial intervention were studied in patients on maintenance neuroleptics who live in high face-to-face contact with relatives who have high levels of expressed emotion. This group is at high risk of relapse when maintained on neuroleptics without social intervention. Relatives of patients in the experimental group received three types of intervention: an educational program, a relatives' group, and family therapy. The goal of intervention was to reduce face-to-face contact and/or relatives' levels of expressed emotion. The results at 9-month and 2-year follow up indicate the benefits of psychosocial intervention, while pointing out the danger in discontinuing maintenance neuroleptics for patients who live in stressful family environments.


Subject(s)
Antipsychotic Agents/therapeutic use , Family Therapy , Family , Psychotherapy, Group , Schizophrenia/therapy , Adolescent , Adult , Aged , Antipsychotic Agents/administration & dosage , Attitude to Health , Clinical Trials as Topic , Delayed-Action Preparations , Female , Flupenthixol/administration & dosage , Flupenthixol/therapeutic use , Fluphenazine/administration & dosage , Fluphenazine/analogs & derivatives , Fluphenazine/therapeutic use , Follow-Up Studies , Health Education , Humans , Interview, Psychological , Life Change Events , Male , Middle Aged , Outcome and Process Assessment, Health Care , Recurrence , Schizophrenia/drug therapy , Schizophrenia/prevention & control , Schizophrenic Psychology , Stress, Psychological/psychology , United Kingdom
17.
Schizophr Res ; 1(1): 25-30, 1988.
Article in English | MEDLINE | ID: mdl-3154502

ABSTRACT

A sample of 31 schizophrenic patients free of anti-psychotic drugs was examined on admission to hospital. 14 (45%) exhibited depressed mood. The course of depressive symptoms and psychotic symptoms was followed weekly while the patients received increasing doses of haloperidol in a standardised regime. In 11 of the 14 patients there was a close correspondence between the course of depressive and psychotic symptoms, suggesting that in these cases, depression was an integral part of the schizophrenic illness. In the other three cases, clinical course of the various symptoms gave some support to the concepts of 'pharmacogenic' and 'post-psychotic depression', although it was not possible to choose between them.


Subject(s)
Depressive Disorder/psychology , Schizophrenic Psychology , Adolescent , Adult , Female , Humans , Male , Middle Aged
18.
Schizophr Res ; 21(3): 199-208, 1996 Sep 18.
Article in English | MEDLINE | ID: mdl-8885048

ABSTRACT

A survey of all inpatients aged 70 years or more was conducted in one of London's mental hospitals in 1989. Baseline measures of cognitive and behavioural disabilities were established for each of the 130 functionally-ill long-stay patients. Three years later 71 patients were still alive, being equally distributed between hospital and community facilities. The study examines the outcomes of patients who had left hospital in comparison with a similar group who remained there. The results indicate that behaviour of patients who were settled in the community was stable and even improved slightly over time, as opposed to those who remained in hospital, who became more disturbed. Direct examinations demonstrate that while those who remained in hospital markedly deteriorated in their cognitive function, patients who left hospital had also declined, but to a much lesser extent. When considering the overall outcomes, we come to recognise the potential for stabilization and even improvement in the condition of ageing schizophrenics being moved from hospital to the community.


Subject(s)
Length of Stay , Schizophrenia/rehabilitation , Aged , Cognition Disorders/complications , Deinstitutionalization , Female , Follow-Up Studies , Hospitalization , Hospitals, Psychiatric , Humans , Male , Schizophrenia/complications
19.
J Appl Physiol (1985) ; 71(5): 1903-6, 1991 Nov.
Article in English | MEDLINE | ID: mdl-1761490

ABSTRACT

Serum from normal human subjects contained variable amounts of catalase activity, which was inhibitable by heat, azide, trichloroacetic acid (TCA), or aminotriazole treatment. Serum also decreased hydrogen peroxide (H2O2) concentrations in vitro and H2O2-mediated injury to cultured endothelial cells. By comparison, heat-, azide-, TCA-, or aminotriazole-treated serum neither decreased H2O2 concentrations in vitro nor reduced H2O2-mediated damage to endothelial cells. We conclude that serum catalase activity can alter H2O2-dependent reactions. We speculate that variations in serum catalase activity may alter individual susceptibility to oxidant-mediated vascular disease or be a factor when added to test systems in vitro.


Subject(s)
Catalase/pharmacology , Endothelium, Vascular/drug effects , Hydrogen Peroxide/toxicity , Animals , Catalase/blood , Cells, Cultured , Endothelium, Vascular/injuries , Endothelium, Vascular/metabolism , Free Radicals , Humans , Hydrogen Peroxide/antagonists & inhibitors , Hydrogen Peroxide/metabolism , In Vitro Techniques
20.
J Appl Physiol (1985) ; 71(5): 1862-5, 1991 Nov.
Article in English | MEDLINE | ID: mdl-1662198

ABSTRACT

Our results suggest that xanthine oxidase (XO) contributes to lung neutrophil sequestration in hypovolemic shock. Catheterized rats subjected to shock by phlebotomy (approximately 30% blood loss) had decreased mean arterial blood pressures (P less than 0.05) and increased (P less than 0.05) lung myeloperoxidase (MPO) activities (indicative of lung neutrophil accumulation) compared with sham-treated normotensive rats. In contrast, rats depleted of lung and plasma XO activity by tungsten diet before phlebotomy had decreased (P less than 0.05) lung MPO activities compared with phlebotomized rats fed regular diets.


Subject(s)
Lung/pathology , Neutrophils/pathology , Shock/pathology , Xanthine Oxidase/metabolism , Animals , Cell Movement/physiology , Lung/enzymology , Male , Neutrophils/enzymology , Peroxidase/metabolism , Rats , Rats, Inbred Strains , Shock/enzymology , Tungsten/pharmacology , Xanthine Dehydrogenase/blood , Xanthine Dehydrogenase/metabolism , Xanthine Oxidase/blood , Xanthine Oxidase/deficiency
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